Resumen
Evaluar la Calidad de Vida de los pacientes es difícil porque junto al cambio real (alpha) muchos pacientes que experimentan un cambio en su salud (diagnostico de cáncer, por ejemplo), pueden cambiar sus estándar internos de medida (recalibración), sus valores (repriorización), o incluso reconceptualizar lo que antes entendían por Calidad de Vida (Cambios Beta y Gamma). Este fenómeno es conocido como “Response Shift” y justifica la paradoja descrita en la literatura por la cual pacientes con graves problemas de salud perciben una Calidad de Vida más alta de la estimada por médicos y familiares.
En este trabajo, después de evaluar los problemas existentes a la hora de definir el constructo Calidad de Vida, centramos la atención en las dimensiones del Response Shift. Se discuten las limitaciones del método clásico de Ahmavaara y se proponen soluciones para detectar y evaluar las componentes Beta y Gamma del Response Shift.
Citas
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